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Erkrankungen der Gelenke

  • J. Freyschmidt

Zusammenfassung

Gegenstand der modernen Radiologie in Gestalt der MRT sind überwiegend traumatisierte Gelenke, während das weite Feld primär nichttraumatischer Gelenkerkrankungen (etwas über 70 Entitäten) ein gewisses Mauerblümchendasein führt, deren radiologische Diagnostik überwiegend anderen Disziplinen überlassen wird. Unser Modell einer Einteilung der Gelenkerkrankungen orientiert sich am anatomischen Angriffspunkt der jeweiligen Entität und hat zum Ziel, ihre diagnostische Einordnung zu vereinfachen und zuverlässiger zu machen. So unterscheiden wir eine Synovialisarthropathie von einer Chondroarthropathie sowie einer systemischen und nichtsystemischen Enthesiopathie. Die systemische Enthesiopathie orientiert sich am Enthesitis-Konzept, das die Diagnostik der sogenannten seronegativen Spondyloarthritiden enorm erleichtert und eine Domäne der MRT geworden ist.

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© Springer-Verlag Berlin Heidelberg 2016

Authors and Affiliations

  • J. Freyschmidt
    • 1
  1. 1.Klinikum Bremen-Mitte Beratungsstelle und ReferenzzentrumBremen

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